Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.02 / $244.80 / $415.80	Facility		$42.02	$244.80	$415.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $152.94 / $152.94	Professional		$152.94	$152.94	$152.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $998.00 / $998.00	Professional		$998.00	$998.00	$998.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $66.95	Professional		$66.95	$66.95	$66.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $414.76 / $414.76 / $414.76	Facility		$414.76	$414.76	$414.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $283.62 / $414.76	Facility		$99.90	$283.62	$414.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $414.76 / $414.76 / $414.76	Facility		$414.76	$414.76	$414.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23